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NBC Course Approval Request Form
Course approvals are valid for the calendar year in which they are approved. Approvals expire on December 31 and must be renewed each calendar year.
Please complete one form per course approval request. Approvals will be granted and emailed within 30 days of submission. When courses must be approved within 10 business days, a rush fee will be added as outlined below.
Course Providers that are NADL members, or speakers who are CDTs/RGs will receive a 50% discount on the course approval fee. The NADL member number, or CDT/RG number is required.
NBC Approved Courses will be listed in the Continuing Education Provider Directory: a collaborative project between the Foundation for Dental Laboratory Technology and NBC, found at www.dentallabfoundation.org/CESearch.
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I. General Information
Please provide course provider and speaker information.
Course Provider
*
Contact Name
(if different than speaker)
Contact Phone
*
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Contact Email
*
Organization Address
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Course Provider Website
Speaker Name
*
Prefix
First
MI
Last
Suffix
NOTE: if group or panel course, will be documented under first name listed
Professional Designation
*
Select Credential
CDT
RG
DDS
DMD
MD/DO
Other
N/A
Speakers who are credentialed in dental technology or dentistry (those who hold a CDT, DDS, other equivalent international accreditation or applicable formal education) will be approved for Regulatory Standards or Scientific courses when course content is appropriate. If the speaker is not credentialed, the course will be approved for Professional Development credit. When course content is not scientific in nature, it will be approved for Professional Development credit regardless of speaker credential.
(please attach bio.CV for first time approval)
Speaker CDT/RG #
*
Enter the CDT/RG number in the format 6 digits + “-00” (e.g., 123456-00).
Speaker Email
Speaker Contact Number
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Additional Speaker 1
(if applicable)
Additional Speaker 2
(if applicable)
II. Course Information
Course Title
*
(limited to 75 characters)
Credit Hours
*
(hour per hour basis)
Program Year
*
Course approvals are valid for the calendar year in which they are approved. Approvals expire on December 31 and must be renewed each calendar year.
Brief Program Description
(attach outline or syllabus if preferred)
Please provide a link to your online course, if applicable/available
Course Outline
(if applicable)
Type of Credit
Regulatory Standards
Scientific
Professional Development
(select one)
NBC will determine the type of credit based on course content and speaker credential. Approval documents will indicate type of course. Abbreviated description for Type of credit follows. Content for Regulatory Standards courses: Infection Control, OSHA, HIPAA, FDA Regulations, Emergency Actions plans, etc. Content for Scientific courses: anything pertaining to the dental technology field. Content for Professional Development courses: Marketing, Business skills, Communication skills, etc. Additional information is located at http://nbccert.org/education/.
Complete Dentures
YES
NO
Partial Dentures
YES
NO
Crown & Bridge
YES
NO
Ceramics
YES
NO
Orthodontics
YES
NO
Implants
YES
NO
CAD/CAM
YES
NO
(required to be searchable online)
Delivery Method
Live Webinar
Online Course
In Person Seminar
Magazine Article
Video
Textbook/Reference Material
Educational Level of Course
Beginner
Intermediate
Advanced
Master
Prerequisite Knowledge
Yes
No
Learning Objectives
1
/
3